Shannon Marie McDermott Crandall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2016013948 Issued in MO

Practice address

311 Ruth Ann Dr
O Fallon, MO 63368-8020

Phone

(636) 439-1931

NPI assigned

Aug 11, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1194453654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 RUTH ANN DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688020",
            "telephone_number": "636-439-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 RUTH ANN DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688020",
            "telephone_number": "636-439-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "SHANNON",
        "middle_name": "MARIE MCDERMOTT",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2016013948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "betterhelp.com",
            "affiliation": "N",
            "endpointDescription": "online platform for therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "311 Ruth Ann Dr",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633688020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Steven Michael Cowser, DC
• Catherine L Crass, WHNP
• Yolande J Crawford, CERT HAIRLOSS SPECIA
• Kevin Crawmer, A.T.C.
• Daniel Crenshaw, PT
• Robert Timothy Cristel, MD

• Clinical Social Worker in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.